Outcome of Arthroscopic Anterior Shoulder Stabilization: A Two to Six-Year Follow-up Study (SS-55)

Kim, Seung-Ho; Ha, Kwon-Ick; Cho, Yang-Bum; Ryu, Byung-Dam; Oh, Irvin

doi:10.1016/s0749-8063(07)60134-0

Cited by 101 publications

(179 citation statements)

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“…The frequency of recurrent instability in our study seems comparable to other published series of arthroscopic instability procedures in which a simple sling was used [10,13,16], but without a head-to-head comparison in the setting of a single study, this inference should be interpreted cautiously.…”

Section: Discussionsupporting

confidence: 84%

“…Kim et al [10] reported that a series of 167 patients who underwent arthroscopic Bankart repair had an average final ASES score of 91.9, with 78% of patients having an excellent Rowe score and a 4% rate of recurrent instability at 2-to 6-year followup. Another series by Law et al [13] of 38 patients with an average age of 21 years at mean 28 months after arthroscopic Bankart repair for anterior shoulder instability recorded an average WOSI score of 83%, which is similar to our mean WOSI of 86.8%.…”

Section: Discussionmentioning

confidence: 99%

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How Does External Rotation Bracing Influence Motion and Functional Scores After Arthroscopic Shoulder Stabilization?

Yin

Levy

Meadows

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background After arthroscopic shoulder stabilization, the loss of motion or delayed recovery of motion remains a clinical problem and may lead to poor patient satisfaction. There remains no consensus regarding the optimal position for postoperative immobilization and it is not known whether the position for shoulder immobilization has an effect on motion and functional recovery. Questions/purposes We asked: (1) Do patients treated with external rotation (ER) bracing after arthroscopic anterior shoulder stabilization reliably regain ROM and shoulder function? And (2) what is the frequency of recurrent instability and brace-related complications associated with the use of ER bracing? Methods Forty consecutive patients with a primary diagnosis of anterior shoulder instability underwent arthroscopic stabilization and received postoperative ER bracing; 33 patients (83%; mean age, 23 years; range, 13-44 years) were followed for at least 1 year postoperatively and seven patients were lost to followup. Shoulder ROM and functional scores were recorded preoperatively and at 2 weeks, 12 weeks, 6 months, and greater than 1 year (mean, 16 months) after surgery. Results All patients recovered their preoperative ROM and most patients achieved normal ROM by 3 months after surgery. Significant improvements in American Shoulder and Elbow Surgeons (ASES) and Western Ontario Shoulder Instability (WOSI) scores were observed at each postoperative time point. The mean (± SD) final scores were 95 ± 9 for the ASES and 87%

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

How Does External Rotation Bracing Influence Motion and Functional Scores After Arthroscopic Shoulder Stabilization?

Yin

Levy

Meadows

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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“…Interpretation of our results would be incomplete without comparison to arthroscopic procedures. Although the reported recurrence rates after arthroscopic Bankart procedures were initially high, ranging from 7.5% to 49% [18,20,23,61], more recent studies have found improved recurrence rates, ranging from zero to 12.5% [4,15,17,29,32,46,56,58,62]. Our rate of recurrent instability after arthroscopic Bankart repair, using sutures and anchors, was 15% in 91 patients at 36 months followup [8].…”

Section: Discussionmentioning

confidence: 68%

Neer Modification of Open Bankart Procedure: What are the Rates of Recurrent Instability, Functional Outcome, and Arthritis?

Boileau¹,

Fourati²,

Bicknell³

2012

Clinical Orthopaedics &Amp; Related Research

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Background Neer modified the Bankart procedure by combining a superoinferior capsular shift with the labral reattachment. The theoretical advantages of the modification were that such a procedure would restore the patient's anatomy and also treat the repeated capsular stretching encountered in anteroinferior instability without limiting external rotation and, thereby reducing the risk of arthritis. Questions/purposes We therefore determined: (1) the rate of recurrent instability after this modification, (2) patient function, and (3) the incidence and stage of glenohumeral osteoarthritis at greater than 2 years followup in patients with traumatic anteroinferior instability. Methods We retrospectively reviewed all 64 patients (average age, 27 years) who had the modified Bankart procedure for recurrent dislocations (n = 39) or subluxation (n = 25) from 1991 to 1997. The labrum was reattached with suture anchors and a superoinferior capsular shift was added. We determined the rate of recurrent instability, Rowe and Walch-Duplay scores and shoulder ROM, and the presence of glenohumeral osteoarthritis (modified Samilson and Prieto classification). The minimum followup was 24 months (median, 40 months; range, 24-120 months). Results Recurrent instability occurred in seven of the 64 patients (11%) at an average of 25 months postoperatively (range, 7 days to 6 years); in six patients the recurrence was associated with trauma; five of the six patients underwent reoperation with a Latarjet procedure. Eight additional patients (13%) presented with persistent shoulder apprehension or discomfort. The average Rowe score was 83% (range, 20-100%) and average Walch-Duplay score 83% (range, 15-100%). However, only 36 of 64 (56%) patients could return to the same sport at the same level. The loss of external rotation was 13°compared with the contralateral side. Glenohumeral osteoarthritis incidence increased from 4% preoperatively to 17% postoperatively. Conclusions The open Bankart procedure modified by Neer provided high function scores but a relatively low rate of return to sport and high rate of recurrent instability. Our rate of recurrent instability, similar to that obtained with arthroscopic Bankart procedures, has prompted us to abandon the open procedure.

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“…[67]. Kim et al reported that 95% of a 167 patient cohort who underwent arthroscopic Bankart repair for traumatic recurrent instability of the anterior shoulder scored good (17%) to excellent (78%) on the Rowe score scale at a mean follow-up of 44 months [68]. One study found that recurrent dislocation rates of shoulders repaired arthroscopically versus open procedure were comparable at 13-year follow-up [3].…”

Section: Recurrence Of Shoulder Instabilitymentioning

confidence: 99%

Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes

DeFroda

Bokshan

Stern

et al. 2017

Curr Rev Musculoskelet Med

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Purpose of Review Arthroscopic Bankart repair is commonly utilized for shoulder stabilization in patients with anterior shoulder instability with minimum glenoid bone loss. The purpose of this review is to provide the indications, surgical technique, complications, and recent outcomes in arthroscopic Bankart repair for shoulder instability. Recent Findings Improvements in arthroscopic techniques have led to better patient outcomes, as well as an improved understanding of the pathoanatomy of instability. More recent studies have shown that one of the potential failures of primary arthroscopic repair may be due to unaddressed bone loss. This underscores the importance of evaluating glenoid bone loss and proper patient selection for this procedure to ensure successful outcome. Summary When indicated, arthroscopic stabilization is the treatment of choice for many surgeons due to its lower morbidity and low overall complication rate. Future work must focus on longer-term outcomes in patients undergoing arthroscopic Bankart repair, as well as the clinical outcomes of new fixation techniques, augmentation techniques, and the effect of glenoid bone loss in outcome.

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Outcome of Arthroscopic Anterior Shoulder Stabilization: A Two to Six-Year Follow-up Study (SS-55)

Cited by 101 publications

References 0 publications

How Does External Rotation Bracing Influence Motion and Functional Scores After Arthroscopic Shoulder Stabilization?

How Does External Rotation Bracing Influence Motion and Functional Scores After Arthroscopic Shoulder Stabilization?

Neer Modification of Open Bankart Procedure: What are the Rates of Recurrent Instability, Functional Outcome, and Arthritis?

Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes

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